Individual
KRISTINA G. MAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1506 S ONEIDA ST, APPLETON, WI 54915-1305
(920) 727-8140
Mailing address
1570 MIDWAY PL, MENASHA, WI 54952-1165
(920) 720-1464
(920) 720-1728
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3173-024
WI
Other
Enumeration date
04/17/2009
Last updated
04/17/2009
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